Organization
CARRILLO URBINA & GARCIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL GARCIA PA-C (ADMINISTRATOR/AUTHORIZED OFFICIAL)
(909) 434-0808
Entity
Organization
Contact information
Practice address
16980 FOOTHILL BLVD STE E, FONTANA, CA 92335-3569
(909) 434-0616
Mailing address
16980 FOOTHILL BLVD STE E, FONTANA, CA 92335-3569
(909) 434-0616
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A71133
CA
Other
Enumeration date
09/20/2007
Last updated
05/17/2024
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